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Studying dietary intake in daily life through multilevel two-part modelling: a novel analytical approach and its practical application

Authors: Andreas B. Neubauer; Andreas Reif; Alea Ruf; Ulrich W. Ebner-Priemer; Ulrich W. Ebner-Priemer; Silke Matura;

Studying dietary intake in daily life through multilevel two-part modelling: a novel analytical approach and its practical application

Abstract

Abstract Background Understanding which factors influence dietary intake, particularly in daily life, is crucial given the impact diet has on physical as well as mental health. However, a factor might influence whether but not how much an individual eats and vice versa or a factor’s importance may differ across these two facets. Distinguishing between these two facets, hence, studying dietary intake as a dual process is conceptually promising and not only allows further insights, but also solves a statistical issue. When assessing the association between a predictor (e.g. momentary affect) and subsequent dietary intake in daily life through ecological momentary assessment (EMA), the outcome variable (e.g. energy intake within a predefined time-interval) is semicontinuous. That is, one part is equal to zero (i.e. no dietary intake occurred) and the other contains right-skewed positive values (i.e. dietary intake occurred, but often only small amounts are consumed). However, linear multilevel modelling which is commonly used for EMA data to account for repeated measures within individuals cannot be applied to semicontinuous outcomes. A highly informative statistical approach for semicontinuous outcomes is multilevel two-part modelling which treats the outcome as generated by a dual process, combining a multilevel logistic/probit regression for zeros and a multilevel (generalized) linear regression for nonzero values. Methods A multilevel two-part model combining a multilevel logistic regression to predict whether an individual eats and a multilevel gamma regression to predict how much is eaten, if an individual eats, is proposed. Its general implementation in R, a widely used and freely available statistical software, using the R-package brms is described. To illustrate its practical application, the analytical approach is applied exemplary to data from the Eat2beNICE-APPetite-study. Results Results highlight that the proposed multilevel two-part model reveals process-specific associations which cannot be detected through traditional multilevel modelling. Conclusions This paper is the first to introduce multilevel two-part modelling as a novel analytical approach to study dietary intake in daily life. Studying dietary intake through multilevel two-part modelling is conceptually as well as methodologically promising. Findings can be translated to tailored nutritional interventions targeting either the occurrence or the amount of dietary intake.

Keywords

RC620-627, Ecological Momentary Assessment, 150, 610, 796, Eating, Semicontinuous, Humans, Nutritional diseases. Deficiency diseases, Ecological momentary assessment, info:eu-repo/classification/ddc/796, ddc:796, ddc:610, 000, Dietary intake, R, Methodology, Longitudinal ; Energy Intake [MeSH] ; Ecological Momentary Assessment [MeSH] ; Humans [MeSH] ; Ecological momentary assessment ; R ; Multilevel two-part modelling ; Eating [MeSH] ; Methodology ; Diet [MeSH] ; Semicontinuous ; Dietary intake ; Brms ; Multilevel Analysis [MeSH], Diet, Athletic & outdoor sports & games, Longitudinal, Multilevel Analysis, Multilevel two-part modelling, Public aspects of medicine, RA1-1270, Energy Intake, ddc: ddc:610

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
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Average
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